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24 Possible Causes for Narrow Pulse Pressure, S4 Gallop

  • Anemia

    Class III (30-40% blood loss) always leads to a measurable decrease in blood pressure as well as significant tachycardia and a narrow pulse pressure.[emedicine.com] Class I ( Class II (15-30% blood loss) – Tachycardia, tachypnea, and a decreased pulse pressure are seen.[emedicine.com]

  • Congestive Heart Failure

    Cardiac palpation and auscultation for ventricular and atrial gallop rhythms (S3, S4) should be performed.[doi.org] Signs There may be a tachycardia at rest, low systolic blood pressure (BP), a displaced apex (LV dilatation) or RV heave (pulmonary hypertension), a narrow pulse pressure[patient.info] The quality of the heart sounds, and the presence of atrial and ventricular gallops and valvular murmurs are important for diagnosis and clinical assessment.[doi.org]

  • Myocardial Infarction

    Heart sounds are auscultated for S3 or S4 gallops or new heart murmurs. Patient care and other activities should be organized to allow for periods on uninterrupted rest.[medical-dictionary.thefreedictionary.com]

  • Hypertrophic Cardiomyopathy

    […] is common in children but signifies decompensated CHF in adults; S4 is frequently heard Jugular venous pulse revealing a prominent a wave Double carotid arterial pulse Apical[emedicine.com] […] impulse (less common) Normal first heart sound; second heart sound usually is normally split but is paradoxically split in some patients with severe outflow gradients; S3 gallop[emedicine.com]

  • Acute Myocardial Infarction

    Ventricular septal rupture (VSR) is a rare but fatal complication of acute myocardial infarction (AMI) with an associated mortality that ranges from 41% to 80%. The treatment consists of supplemental oxygenation, afterload reduction, intraaortic balloon pump, and surgical repair. In selected patients, extracorporeal[…][ncbi.nlm.nih.gov]

  • Restrictive Cardiomyopathy

    Haemodynamic features delineated in the 1940s and '50s included the narrow pulse pressure in the right ventricle with normal systolic pressure and greatly increased diastolic[heart.bmj.com]

  • Hypertension

    […] and a narrow pulse pressure (by definition, isolated diastolic hypertension) had auscultatory BP measurements that overestimated the true, intra-arterial DBP. 11 In support[doi.org] Hypertension in Young Adults The concept of artifactual or benign isolated diastolic hypertension arose from previous observations that individuals presenting with raised diastolic pressure[doi.org]

  • Coronary Artery Disease

    […] high blood pressure.[medicinenet.com] (feel) for the pulses in the wrists and feet to see if they are present, and if they are normal in their amplitude and force.[medicinenet.com] There are some clues on physical exam that suggest the presence of narrowed arteries to the heart and coronary artery disease, for example, they the doctor may: Check for[medicinenet.com]

  • Aortic Valve Stenosis

    Signs Examination of the pulse in significant AS reveals a slow-rising, flat character called pulsus parvus et tardus. [ 7 ] Blood pressure will show a narrow pulse pressure[patient.info] As AS severity increases, the findings of systolic heart failure may become more prominent, including an S3 or S4 gallop, the irregular rhythm of atrial fibrillation, an enlarged[doi.org] Clinical examination classically reveals a narrow pulse pressure, a slow-rising peripheral pulse, pulsus parvus et tardus (weak and delayed pulse) in the carotid pulse, a[radiopaedia.org]

  • Mitral Valve Insufficiency

    Tests When listening to your heart and lungs, the health care provider may detect: A thrill (vibration) over the heart when feeling the chest area An extra heart sound (S4[mountsinai.org] A narrow pulse pressure is often seen in severe mitral regurgitation.[healio.com] […] night When listening to your heart and lungs, the health care provider may detect: A thrill (vibration) over the heart when feeling the chest area An extra heart sound (S4[medlineplus.gov]

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